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Cyclop Dia of the Practice of Medicine (Volume 11)

Cyclop Dia of the Practice of Medicine (Volume 11)

Paperback

General World History

Currently unavailable to order

ISBN10: 1154401065
ISBN13: 9781154401066
Publisher: General Books
Pages: 236
Weight: 0.94
Height: 0.50 Width: 7.44 Depth: 9.69
Language: English
This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1876 edition. Excerpt: ...causing grimaces, which are the more striking when, as in most unilateral cases, the other half of the face is at absolute rest. Winking of the eyes, wrinkling of the forehead, contractions of the muscles of the nose, drawing up of the angle of the mouth, movements resembling those of laughter, follow in quick succession, or appear once or twice as clonic spasms; in the intervening periods, a few tonic and more persistent contractions of particular muscles are observed; finally, the whole expression of the face becomes quieter, a few twitches occur, and there follows then a longer or shorter pause. In these attacks the muscles are not all equally affected in different instances; generally the spasms are confined chiefly to a few muscles, such as the orbicularis palpebrarum, the levator labii superioris ahpque nasi, the zygomatici, corrugator supercilii, and more rarely the frontalis or the platysma, and still less frequently the muscles of the ear. I do not find that in any instance movements of the velum palati have been observed during the spasm, nor have I been able to establish the occurrence of such movements in the cases that have fallen under my notice. Facial spasms occur in paroxysms of variable duration, sometimes lasting only a few seconds, and more rarely as long as one or two minutes. They commence with a few twitches, which gradually increase in energy and rapidity, ultimately lead to one or two tonic contractions, and then gradually again subside. In the intervals all is at rest, or only a few slight contractions occur, which are associated with any reflex or voluntary movements that the patient may happen to make. The frequency with which the paroxysms occur varies greatly; in some instances only from three to ten occur in...

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